Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20220058-en
Brazilian Journal of Pain
Artigo Original

Lifestyle factors in patients with chronic neuropathic pain after COVID-19: a cross-sectional study

Fatores relacionados ao estilo de vida de pacientes com dor crônica neuropática pós-COVID-19: estudo transversal 

Weltton Augusto da Silva Barbosa; Lilian Chessa Dias; Ana Marcia Rodrigues Cunha; Marcos Dall Aglio Foss; Paulo Rafael Condi; Marielza Regina Ismael Martins

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Abstract

BACKGROUND AND OBJECTIVES: Lifestyle after a social restriction caused by the COVID-19 pandemic pointed to influence on chronic pain scenarios. The aim of this study was to identify lifestyle factors related to patients with chronic neuropathic pain after COVID-19 infection.
METHODS: This is a cross-sectional observational analytical study with 62 patients diagnosed with chronic neuropathic pain and belonging to a Pain Clinic, where a form with sociodemo-graphic data was applied and they were evaluated using the Neuropathic Symptoms and Signs Pain Scale (S-LANSS) and the Fantastic Lifestyle Questionnaire (FLQ), respectively, which provides a wide range of information regarding lifestyle behaviors.
RESULTS: The sample was composed of 62 participants, mean age 56.2±12.9 years, predominance of women (60%), married people (64%) and with children (80%). S-LANSS revealed 48 patients (77%) with neuropathic mechanisms on sensitivity examination, 80%(n=50) reported allodynia only in the painful area. Almost 80% of patients had regular lifestyle (n=48), with the activity and nutrition components being self-perceived negatively.
CONCLUSION: In the present study, patients with chronic neuropathic pain showed that the level of activity and the presence of alcohol compromised their lifestyle. These components are aspects of these patients lifestyle that must be understood and validated in order to think of countering strategies that can influence new forms of approach and organization of services.


HIGHLIGHTS
• The lifestyle of chronic pain patients was altered post-COVID.

Keywords

Chronic pain, Lifestyle, Quality of life.

Resumo

JUSTIFICATIVA E OBJETIVOS: O estilo de vida após uma restrição social causada pela pandemia do COVID-19 apontou a influência sobre quadros de dores crônicas. O objetivo deste estudo foi identificar fatores relacionados ao estilo de vida de pacientes com dor neuropática crônica após infecção de COVID-19.
MÉTODOS: Trata-se de um estudo analítico observacional transversal com 62 indivíduos diagnosticados com dor crônica neuropática e vinculados a uma Clínica de Dor. Foram aplicadas fichas com dados sociodemográficos, as quais foram avaliadas por meio da escala de dor Neuropathic Symptoms and Signs Pain Scale (S-LANSS) e do Questionário de Estilo de Vida Fantástico (FLQ), respectivamente, que fornecem uma ampla gama de informações em relação aos comportamentos que caracterizam o estilo de vida.
RESULTADOS: A amostra foi composta por 62 participantes, com média de idade de 56,2±12,9 anos, predomínio de mulheres (60%), pessoas casadas (64%) e com filhos (80%). A S-LANSS revelou 48 pacientes (77%) com mecanismos neuropáticos no exame de sensibilidade, 80%(n=50) relataram alodinia somente na área dolorida. Quase 80% dos pacientes apresentaram estilo de vida regular (n=48), com os componentes de atividade e nutrição sendo autopercebidos negativamente.
CONCLUSÃO: No presente estudo, os pacientes com dor crônica neuropática mostraram que o nível de atividade e a presença de álcool comprometeram seu estilo de vida. Estes componentes são aspectos do estilo de vida desses pacientes que devem ser entendidos e validados, a fim de se pensar em estratégias de enfrentamento que possam influenciar novas formas de abordagem e organização de serviços.
DESTAQUE
• O estilo de vida de pacientes com dor crônica foi alterado pós-COVID.

Palavras-chave

Dor crônica, Estilo de vida, Qualidade de vida. 

Referências

1 Vargas LM, Redkva PE, Cantorani JR, Gutierrez GL. Estilo de vida e fatores associados em estudantes universitários de educação física. Rev de Atenção à Saúde. 2015;13(44):17-26. DOI: https://doi.org/10.13037/ras.vol13n44.2693.

2 Nutbeam D. Health Promotion Glossary. Health Prom Glos. 1998;33(4):349-64.

3 Dermanovic Dobrota V, Hrabac P, Skegro D, Smiljanic R, Dobrota S, Prkacin I, Brkljacic N, Peros K, Tomic M, Lukinovic-Skudar V, Basic Kes V. The impact of neuropathic pain and other comorbidities on the quality of life in patients with diabetes. Health Qual Life Outcomes. 2014;3;12:171.

4 Almeida FC, Castilho A, Cesarino CB, Ribeiro RC, Martins MR. Correlação entre dor neuropática e qualidade de vida. BrJP. 2018;1(4):349-53.

5 Hadi MA, McHugh GA, Closs SJ. Impact of chronic pain on patients’ quality of life: a comparative mixed-methods study. J Patient Exp. 2019;6(2):133-141.

6 Campos GWS. A reforma sanitária necessária. In: Berlinguer G, Teixeira S F, Campos GWS. Reforma Sanitária: Itália e Brasil. São Paulo: HUCITEC-CEBES; 1988.

7 Mattioli AV, Pinti M, Farinetti A, Nasi M. Obesity risk during collective quarantine for the COVID-19 epidemic. Obes Med. 2020;20:100263.

8 Górnicka M, Drywień ME, Zielinska MA, Hamułka J. Dietary and lifestyle changes during COVID-19 and the subsequent lockdowns among polish adults: a cross-sectional online survey PLifeCOVID-19 study. Nutrients. 2020;12(8):2324.

9 WHO [Internet]. Naming the coronavirus disease (COVID-19) and the virus that causes it [acesso em 09 jun 2022]. Disponível em: who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/naming-the-coronavirus-disease-(covid-2019)-and-the-virus-that-causes-it.

10 Piercy KL, Troiano RP, Ballard RM, Carlson SA, Fulton JE, Galuska DA, George SM, Olson RD. The Physical Activity Guidelines for Americans. JAMA. 2018;320(19):2020-8.

11 Añez CRR, Reis RS, Petroski EL. Versão brasileira do questionário “Estilo de Vida Fantástico”: tradução e validação para adultos jovens. Arq Bras Cardiol. 2008;91(2):102-9.

12 Bennett MI, Smith BH, Torrance N, Potter J. The S-LANSS score for identifying pain of predominantly neuropathic origin: validation for use in clinical and postal research. J Pain. 2005;6(3):149-58.

13 Villa LF, Cunha AM, Dias LA, Foss MH, Martins MR. Chronic neuropathic pain: quality of life, depressive symptoms and distinction between genders. BrJP. 2021;4(4):301-5.

14 Dale R, Stacey B. Multimodal treatment of chronic pain. Med Clin North Am. 2016;100(1):55-64.

15 Colloca L, Ludman T, Bouhassira D, Baron R, Dickenson AH, Yarnitsky D, Freeman R, Truini A, Attal N, Finnerup NB, Eccleston C, Kalso E, Bennett DL, Dworkin RH, Raja SN. Neuropathic pain. Nat Rev Dis Primers. 201716;3:17002.

16 Almeida FC, Castilho A, Cesarino CB, Ribeiro RC, Martins MR. Correlation between neuropathic pain and quality of life. BrJP. 2018;1(4):349-53.

17 Posso I P, Palmeira CC, Vieira EB. Epidemiologia da dor neuropática. Rev Dor. 2016;17(1):11-4.

18 Yamada K, Kubota Y, Iso H, Oka H, Katsuhira J, Matsudaira K. Association of body mass index with chronic pain prevalence: a large population-based cross-sectional study in Japan. J Anesth. 2018;32(3):60-7

19 Mills SEE, Nicolson K P, Smith BH. Chronic pain: a review of its epidemiology and associated factors in population-based studies. Br J Anaesth. 2019;123(2):e273-e283.

20 Van Hecke O, Torrance N, Smith BH. Chronic pain epidemiology – where do lifestyle factors fit in? BrJP. 2013;7(4):209-17.
 


Submetido em:
28/06/2022

Aceito em:
16/11/2022

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